Browsing by Subject "COVID-19 pandemic"

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  • ESHRE COVID-19 Working Grp; Vermeulen, Nathalie; Ata, Baris; Gianaroli, Luca; Tapanainen, Juha S.; Veiga, Anna (2020)
    STUDY QUESTION: How did coronavirus disease 2019 (COVID-19) impact on medically assisted reproduction (MAR) services in Europe during the COVID-19 pandemic (March to May 2020)? SUMMARY ANSWER: MAR services, and hence treatments for infertile couples, were stopped in most European countries for a mean of 7 weeks. WHAT IS KNOWN ALREADY: With the outbreak of COVID-19 in Europe, non-urgent medical care was reduced by local authorities to preserve health resources and maintain social distancing. Furthermore, ESHRE and other societies recommended to postpone ART pregnancies as of 14 March 2020. STUDY DESIGN, SIZE, DURATION: A structured questionnaire was distributed in April among the ESHRE Committee of National Representatives, followed by further information collection through email. PARTICIPANTS/MATERIALS, SETTING, METHODS: The information was collected through the questionnaire and afterwards summarised and aligned with data from the European Centre for Disease Control on the number of COVID-19 cases per country. MAIN RESULTS AND THE ROLE OF CHANCE: By aligning the data for each country with respective epidemiological data, we show a large variation in the time and the phase in the epidemic in the curve when MAR/ART treatments were suspended and restarted. Similarly, the duration of interruption varied. Fertility preservation treatments and patient supportive care for patients remained available during the pandemic. LARGE SCALE DATA: N/A LIMITATIONS, REASONS FOR CAUTION: Data collection was prone to misinterpretation of the questions and replies, and required further follow-up to check the accuracy. Some representatives reported that they, themselves, were not always aware of the situation throughout the country or reported difficulties with providing single generalised replies, for instance when there were regional differences within their country. WIDER IMPLICATIONS OF THE FINDINGS: The current article provides a basis for further research of the different strategies developed in response to the COVID-19 crisis. Such conclusions will be invaluable for health authorities and healthcare professionals with respect to future similar situations.
  • Sarasma, Juho Johannes (Helsingin yliopisto, 2021)
    Ihmisten arkinen liikkuminen paikasta toiseen on tärkeä palanen laajemmassa kestävyysmurroksessa. Liikenne muodostaa Suomessa 20 % kansallisista kasvihuonekaasupäästöistä ja vaikka päästöt ovat tasaisesti vähentyneet, nykyinen tahti ei ole riittävä tämänhetkisten päästövähennystavoitteiden saavuttamiseksi. Kotitalouksien kulutuksen aiheuttamista kasvihuonekaasupäästöistä liikkuminen on suurin yksittäinen päästöjen aiheuttaja. Aikaisempi tutkimus on keskittynyt suurelta osin teknologisiin ratkaisuihin ja yksilöiden valintoihin syinä ja ratkaisuina kestävään liikkumiseen. Näitä lähestymistapoja on kritisoitu siitä, että ne eivät anna riittävää painoarvoa sosiaalisille tekijöille. Käytäntöteorioita on esitetty vaihtoehtona ja vallitsevien yksilökeskeisten lähestymistapojen haastajana arkisen liikkumisen ymmärtämiseen. Käytännöt ovat rutiininomaisia ihmisten käyttäytymismalleja, jotka koostuvat useista elementeistä: materiaaleista, merkityksistä ja kompetensseista. Tämä tutkielma analysoi ihmisten liikkumista ennen COVID-19-pandemiaa ja sen aikana käytäntöteoreettisesta näkökulmasta. Tavoite on selvittää mitä käytäntöteorioiden avulla voidaan oppia kestävästä liikkumisesta, sekä miten pandemia on vaikuttanut ihmisten liikkumiseen Suomessa. Tutkielmaa varten tehtiin yhdeksän puolistrukturoitua haastattelua, joissa osallistujilta kysyttiin heidän liikkumisestaan ennen pandemiaa ja sen aikana. Tulokset muodostavat kokonaisvaltaisen kuvan osallistujien elämästä liikkumisen näkökulmasta. Tulokset analysoitiin käyttäen kvalitatiivista teorialähtöistä sisällönanalyysia. Tuloksista selvisi, että ihmisten liikkuminen muodostaa monimutkaisen systeemin, johon pandemia vaikutti merkittävästi. Tutkimuksessa tunnistettiin lukuisia elementtejä, jotka joko mahdollistivat tai hankaloittivat eri liikkumismuotojen käyttöä. Käytäntöteorioita on usein käytetty tarkastelemaan yhtä liikkumismuotoa kerrallaan, ja tämän tutkielman laajempaa näkökulmaa voidaan pitää yhtenä sen tärkeimmistä ansioista liikkumisen tutkimukseen. Vaikka tutkielma ei tarjoa valmiita vastauksia siihen, miten ihmisten liikkumisesta saataisiin kestävämpää, se tarjoaa tärkeää uutta tietoa käytäntöteoreettiseen liikkumisen tutkimukseen, joka on Suomessa ollut todella vähäistä.
  • Laukkala, Tanja; Suvisaari, Jaana; Rosenström, Tom; Pukkala, Eero; Junttila, Kristiina; Haravuori, Henna; Tuisku, Katinka; Haapa, Toni; Jylhä, Pekka (2021)
    The COVID-19 pandemic has caused an unequally distributed extra workload to hospital personnel and first reports have indicated that especially front-line health care personnel are psychologically challenged. A majority of the Finnish COVID-19 patients are cared for in the Helsinki University Hospital district. The psychological distress of the Helsinki University Hospital personnel has been followed via an electronic survey monthly since June 2020. We report six-month follow-up results of a prospective 18-month cohort study. Individual variation explained much more of the total variance in psychological distress (68.5%, 95% CI 65.2-71.9%) and negative changes in sleep (75.6%, 95% CI 72.2-79.2%) than the study survey wave (1.6%, CI 0.5-5.5%; and 0.3%, CI 0.1-1.2%). Regional COVID-19 incidence rates correlated with the personnel's psychological distress. In adjusted multilevel generalized linear multiple regression models, potentially traumatic COVID-19 pandemic-related events (OR 6.54, 95% CI 5.00-8.56) and front-line COVID-19 work (OR 1.81, 95% CI 1.37-2.39) was associated with personnel psychological distress but age and gender was not. While vaccinations have been initiated, creating hope, continuous follow-up and psychosocial support is still needed for all hospital personnel.
  • Benedict, Christian; Brandao, Luiz Eduardo; Merikanto, Ilona; Partinen, Markku; Bjorvatn, Bjørn; Cedernaes, Jonathan (2021)
    The COVID-19 pandemic and related restrictions, such as stay-at-home-orders, have significantly altered daily routines and lifestyles. Given their importance for metabolic health, we herein compared sleep and meal timing parameters during vs. before the COVID-19 pandemic based on subjective recall, in an anonymous Swedish survey. Among 191 adults (mean age: 47 years; 77.5% females), we show that social jetlag, i.e., the mismatch in sleep midpoint between work and free days, was reduced by about 17 min during the pandemic compared with the pre-pandemic state (p < 0.001). Concomitantly, respondents’ sleep midpoint was shifted toward morning hours during workdays (p < 0.001). A later daily eating midpoint accompanied the shift in sleep timing (p = 0.001). This effect was mainly driven by a later scheduled first meal (p < 0.001). No difference in the timing of the day’s last meal was found (p = 0.814). Although our survey was limited in terms of sample size and by being cross-sectional, our results suggest that the delay in sleep timing due to the COVID-19 pandemic was accompanied by a corresponding shift in the timing of early but not late meals.
  • Haravuori, Henna; Junttila, Kristiina; Haapa, Toni; Tuisku, Katinka; Kujala, Anne; Rosenstrom, Tom; Suvisaari, Jaana; Pukkala, Eero; Laukkala, Tanja; Jylhä, Pekka (2020)
    In March 2020, strict measures took place in Finland to limit the COVID-19 pandemic. Majority of Finnish COVID-19 patients have been located in southern Finland and consequently cared for at the Hospital District of Helsinki and Uusimaa (HUS) Helsinki University Hospital. During the pandemic, HUS personnel's psychological symptoms are followed via an electronic survey, which also delivers information on psychosocial support services. In June 2020, the baseline survey was sent to 25,494 HUS employees, 4804 (19%) of whom answered; altogether, 62.4% of the respondents were nursing staff and 8.9% were medical doctors. While the follow-up continues for a year and a half, this report shares the sociodemographic characteristics of the respondents and the first results of psychological symptoms from our baseline survey. Out of those who were directly involved in the pandemic patient care, 43.4% reported potentially traumatic COVID-19 pandemic-related events (PTEs) vs. 21.8% among the others (p <0.001). While over a half of the personnel were asymptomatic, a group of respondents reported PTEs and concurrent depression, insomnia, and anxiety symptoms. This highlights the need to ensure appropriate psychosocial support services to all traumatized personnel; especially, nursing staff may require attention.
  • Caras, Valeria Stefania (Helsingin yliopisto, 2021)
    This research aims to reveal factors that impact the formation of trust in governments during the COVID-19 pandemic from a comparative cross-EU perspective. The formation of trust in pandemic times is ambiguous because national executives are supposed to combat the virus and can be both rewarded and punished for their actions as well as for the economic consequences of the lockdowns. Theoretically, the thesis fills the gap between the economic voting bulk of literature and research on trust formation in crisis times. The study is based on the “Living, working and COVID-19 dataset” survey conducted by Eurofound agency in spring and summer 2020. The results of the multilevel regression analysis contribute to the field with the significant impact of the clarity of governmental responsibility and losing a job interaction on trust. The applied method allows combining country-level and individual-level data, revealing a higher variance among respondents than EU member states. The interaction indicates that most citizens appreciate cohesive governments in crisis times, which contradicts economic voting literature’s argument that trust is lower in less polarized systems where people have a clearer understanding of assigning blame for policies. However, the respondents who lost the job permanently when the pandemic escalated blame united governments establishing a better link between personal welfare and governmental action. The discrepancy between unemployed and employed is more minor in more polarized and less cohesive systems, which blur responsibility. In general, such factors as losing a job during the pandemic, either permanently or temporarily, feeling job insecurity, and expecting personal finances to worsen - negatively influence the trust in governments. These findings illustrate the significance of political factors as government composition and economic indicators as unemployment and subjective feelings of economic well-being in trust formation. Compared to the theoretical assumptions in regular times, the trust variations during the concrete situation of the pandemic’s outbreak are different since people tend to value more united governments able to respond to the crisis fast.